Poster électronique

Evaluation IRM de l'arthrodèse lombaire
T. Somon (1), D. N’guess (1), F. Salami (1), D. Weinstein (1), A. Chevrot (2), D. Recoules (1) - (1) Le Havre - France, (2) Paris - France
Congrès 2011
Résumé
Objectifs
Evaluer l’apport de l’IRM dans le suivi des arthrodèses lombaires.
Matériels et méthodes
21 patients arthrodèsés ont bénéficié d’une exploration simultanée en IRM et au scanner avant et 6 mois après une arthrodèse sur la position des vis (intra ou extra-pédiculaire), l'involution graisseuse musculaire (classification de Goutallier avant et après chirurgie) et la fusion (oui/non). L'analyse des examens a été réalisée séparément par 2 lecteurs expérimentés en imagerie rachidienne.
Résultats
Deux types de chirurgie ont étéévaluées, l’ELIF (N = 15) et le PLIF (N = 6). Sur la série ELIF, aucune vis extra-pédiculaire, modification d'un stade de la classification de Goutallier chez un de nos patients et fusion chez tous nous patients. Sur la série PLIF, 1 vis extra-pédiculaire, tous nos patients sont en involution d'au moins 2 stades à 6 mois et tous nos patients étaient fusionnés. Absence de discordance entre l'IRM et le scanner. Absence de discordance interobservateur.
Conclusion
L'IRM est une technique très intéressante et reproductible pour évaluer les patients ayant bénéficié d'une arthrodèse lombaire.
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2018-11-18 11.19 :
monique demoulin

peut on faire un IRM en ayant subi une arthrodèse

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